Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $52.48	Professional		$22.91	$28.84	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $61.66	Facility		$36.31	$36.31	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $36.31	Professional		$26.92	$26.92	$36.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $89.13	Professional		$39.81	$64.57	$89.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $60.26 / $74.13	Facility		$20.42	$60.26	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.20 / $46.77	Professional		$26.30	$30.20	$46.77